目的了解目前小学生被动吸烟的状况及评价有关宣教措施的效果。方法随机选取临沂市3所小学的791名9～11岁学生,对其家庭成员吸烟情况及其对小学生健康的影响进行问卷调查,并选择其中的312名学生的家庭成员进行相关卫生知识的宣传教育干预,并评价卫生宣传教育的效果。结果①小学生被动吸烟率为46.5%,主要来自父亲,比例高达76.6%。②在最近的一个学期内,被动吸烟组的支气管炎和上呼吸道感染的发病率均高于对照组,差异有统计学意义(P<0.01)。2组小学生的肺炎和哮喘的发病率差异无统计学意义(P>0.05)。2组小学生的身高和体重差异均无统计学意义(P>0.05)。③对312个家庭进行被动吸烟对小学生健康危害的健康知识宣传后,被动吸烟率下降了5.0%,有68.4%的人表示愿意为了孩子的健康戒烟,但还有11.3%的人不愿意戒烟。干预前后吸烟者的吸烟量没有明显的改变。结论目前小学生被动吸烟状况不容乐观,针对小学生健康的卫生宣传教育可起到一定的控烟效果。 Objective To understand the status quo of passive smoking in primary school students and to evaluate the effect of educational measures. Methods A total of 791 students, ages 9 to 11, from 3 primary schools in Linyi City were randomly selected to conduct a questionnaire survey on the smoking status of their family members and their effects on the health of primary school students. Three hundred and thirteen of them were selected to publicize relevant health knowledge Education intervention, and evaluate the effectiveness of health education. Results ① Primary school students passive smoking rate was 46.5%, mainly from fathers, the proportion of up to 76.6%. ②In the recent semester, the incidence of bronchitis and upper respiratory tract infection in passive smoking group were higher than that of the control group, the difference was statistically significant (P <0.01). There was no significant difference in the incidence of pneumonia and asthma between the two groups (P> 0.05). There was no significant difference in height and weight between the two groups (P> 0.05). Passive smoking on 312 families Health promotion of primary school students’ health knowledge, the passive smoking rate decreased by 5.0%, 68.4% of people expressed their willingness to quit for their children’s health, but still 11.3% of people are not willing to quit smoking. Smoking smokers before and after the intervention did not change significantly. Conclusions At present, passive smoking among primary school students is not optimistic. Public health education for primary school students can play a role in controlling smoking.